Individual provider Active NPI

Michael Hugh Browder, DDS

  • General Practice Dentistry
  • North Wilkesboro, NC
National Provider Identifier
1538220355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6307 Issued in NC
Practice address
404 8TH St
North Wilkesboro, NC 28659-4130
Phone
(336) 838-8851
Fax
(336) 667-1197
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6307 NC Primary

Addresses

Primary practice location

404 8TH St
North Wilkesboro, NC 28659-4130

Mailing address

PO Box 1006
North Wilkesboro, NC 28659-1006
Phone (336) 838-8851

Other identifiers 1

IdentifierTypeStateIssuer
8991092MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422000661 NC Order and Referring Only - DentistPractitioner - Dentist 1951600105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6307NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538220355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591006",
            "telephone_number": "336-838-8851",
            "fax_number": "336-667-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 8TH ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594130",
            "telephone_number": "336-838-8851",
            "fax_number": "336-667-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWDER",
        "first_name": "MICHAEL",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.